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Covisint Technology Platform for Health
Information Exchange
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Foundation of Interoperability 3 Legged Stool
Portal and Collaboration Services
Messaging and Web Services
Identity Management Services
Share information and applications in a common
secure environment
Integrate essential processes with highly
reliable data exchange
Control who has access to what

• Flexibility of Platform
• Common identity management and security framework
• Common front-end and single point of access
• Community messaging and collaboration
• Enhance existing IT infrastructure
• Highly scalable and customizable

• Reduced TCO
• Infrastructure-as-a-Service
• Latest technologies
• 24x7 support
• Integration out of the box

• Rapid time-to-market
• Leverage existing platform
• High degree of reuse
• Support common integration standards
• Modular upgrades
• Application enablement

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Covisint Elements of the HIE Backbone

• Security/Privacy Enable healthcare
  organizations and communities to implement a
  unified and leveraged approach to managing
  digital identities and information security
  across a wide variety of technologies and
  organizations users have a single digital
  identity across organizations.
• Master Patient Index Ensures that a patient is
  identified only once in a community even though
  the patient may be identified in many other
  sources.
• Record Locator Service Centrally manages the
  location of various episodes of care for quick
  retrieval and access to a single patient medical
  record across many sources.
• Messaging Data routing and transformation
  between all legacy systems and external
  sources/end-points, providing an infrastructure
  that can be leveraged for rapid deployment of
  future initiatives.

Security/ Privacy
Record Locator Service (RLS)
Messaging
Master Patient Index (MPI)
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Core Solutions

• Covisint provides secure web access to any
  application or component
• (SSO) Single Sign On and Federation
• (TIB) Trusted Identity Broker
• Delegated Administration
• Auditing and Reporting

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Core Solutions
Portal

• Using shared Collaboration Tools
• Secure Email
• Directed Communications (News Groups, Bulletins,
  Broadcasts)
• Secure File Exchange (Virtual LAN)

• User Functions
• Wiki's
• Blogs
• Message Boards
• Rich User Profiles

• Social Networking
• RSS
• E-mail subscriptions
• Communities (Microsites)

• Administration Functions
• Self service page and portlet creation
• In-line WYSIWYG editing
• Multiple levels of content management roles

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Core Solutions
Messaging
Enabling unlimited information and application
sharing on a global scale

• Connect Any to Any messaging platform
• Hyper tools Automated practice integration
• ProviderLink Unstructured messaging

• EMR
• PMS
• Lab
• E-Prescribe

• Payer
• Hospital
• Practice
• Community

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Covisint Connecting Healthcare. On Demand.
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Collaboration between Clinician And Consumer \
Patient
Clinical Systems
Physicians And Practices
Data Aggregation Data Delivery Cross Domain
Single Sign On
Payer Systems
Provider Managed Patient Managed
Microsoft Corporation Confidential and Privileged
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HyperBridgeAutomating Connectivity
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State and National Frameworks HIE Enablement
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Covisint Landscape of Customers and Partners

• Statewide Healthcare Communities
• State of Michigan
• Medicaid (MDCH)
• Michigan State Medical Society (MSMS)
• Michigan Association of Health Plans (MAHP)
• my1HIE
• State of Minnesota
• MnHIE Community Driven LLC
• State of Tennessee
• State Based Health Exchange
• State of North Carolina
• State of South Carolina
• Payer-based Communities
• (11) Medicaid Programs
• BlueCross Blue Shield (NC, SC, MN, MI)
• CIGNA
• Humana

State of Tennessee
INDUSTRY RECOGNITION
100 Customer Retention and Reference Ability
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Covisint Landscape of Customers

• Michigan
• Michigan State Medical Society
• My1HIE (United Physicians)
• Thumb Health Information System
• Michigan Association of Health Plans (21 Health
  Plans)
• BCBSMI
• MEDICAID

• Washington
• Community Health Plan of Washington

• Minnesota
• Minnesota Health Information Exchange

• Pennsylvania/Massachusetts
• BCNEPA Exchange
• Conemaugh Health System/VA
• (4) Payers
• (12) ECF/DME

• New York/Maryland
• MEDICAID

• Virginia/West Virginia
• (12) Health Systems/Hospitals
• (3) Payers
• (16) ECF/DME

• California
• VIP Health Initiative
• MEDICAID

• North Carolina
• (70) Health Systems/Hospitals
• (15) Payers
• (400) ECF/DME
• MEDICAID

• South Carolina
• (27) Health Systems/Hospitals
• (6) Payers
• (29) ECF/DME
• MEDICAID

MS

• Tennessee
• eHealth Exchange Zone

• Texas/Oklahoma
• Genesis Physicians Group
• Oklahoma State University
• (18) Health Systems/Hospitals

• Louisiana
• (7) Health Systems/Hospitals
• (3) Payers
• (29) ECF/DME
• MEDICAID

• National Payer Deployments
• Administrative Messaging
• CIGNA
• Humana

• Georgia/Florida
• (18) Health Systems/Hospitals
• (3) Payers
• (9) ECF/DME
• MEDICAID

• Alabama
• (6) Health Systems/Hospitals

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Covisint HIE Approach and Success Michigan
my1HIE
Southeast Michigan

• Overview
• Collaboration of United Physicians, Olympia
  Medical Services, Continuum Medical Services, and
  Huron Valley Physicians Association
  representing over 5,000 physicians in southeast
  Michigan.
• my1HIE is bringing healthcare providers together
  to exchange healthcare information in a secure
  and seamless manner.
• Challenge
• Provide member physicians seamless access to
  relevant healthcare applications.
• Provide physicians with single sign-on ability
  across applications.
• Provide physicians a mechanism for immediate
  on-boarding for adoption and usage.
• Provide scalable technology infrastructure to
  accommodate additionalapplications and services
  as needed with growth.
• Focus
• Physician collaboration and patient information
  access.
• Solution
• my1HIE Workspace Branded Collaboration
  Environment enabled by Covisint.
• Results
• Paper documents become electronically exchanged
  (Medical Records, Referrals, Consult Notes, etc.)
• Secure access to multiple practice applications,
  including ePrescribing.

Michigan led the industrial age with
manufacturing, and now we are driving the
healthcare adoption of technology--with
physicians and their patients at the core.
This Covisint partnership, now in its third
year, gives us a great opportunity to make
technology available and advance physician
adoption. It is no secret that electronic tools,
such as electronic prescribing, eliminate errors
and improve patient care. It has also given us
perspective on the marriage of healthcare and
technology, and this coming together of multiple
physician organizations statewide is precisely
where healthcare and technology need to meet.

• Steven Grant, MD President and CEO
• United Physicians

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Rapid growth of E-Prescribe

• Press (February 16, 2008)
• my1HIE Reaches 1 Million e-Prescriptions
• Over one million e-Prescriptions have been sent
  from over 700 affiliated healthcare providers
  throughout Southeastern Michigan.
• Continued double digit adoption rates
• my1HIE healthcare providers have accounted for
  over 1 million of the estimated 8 million
  electronic prescriptions written by the State of
  Michigan making my1HIE the largest group of
  independent physicians e-Prescribing in the State
  of Michigan.

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Covisint HIE Approach and Success Michigan
my1HIE
Southeast Michigan
Significant growth moving from standalone eRx
tool to an integrated on-demand solution
of Scripts Written
of Physicians Live
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Covisint Statewide Approach and Success -
Tennessee
Tennessee eHealth Exchange Zone
State of Tennessee

• Overview
• Single point of secure access for all healthcare
  providers across State to access healthcare
  information and applications.
• Statewide backbone for all information sharing
  initiatives to plug into.
• Challenge
• Provide statewide connectivity to health
  information so all providers - regardless of
  location or technology - can actively access
  real-time information across all sharing
  initiatives.
• Solution
• Covisint On-Demand Collaboration Platform
• IDM and Authentication Services
• Portal and Collaboration Services
• Results
• Centralizes, automates and streamlines access to
  information across Tennessee care giving
  community
• Provisioning and de-provisioning of access across
  State
• Single-sign on functionality to access are
  required applications and information

Our goal is to accurately and effectively
deliver information to health care providers at
the point of care that will improve the quality
of health care provided to the citizens of
Tennessee. If patients medical history and
record of care are available to their hospital,
laboratory, pharmacy or physician, then they will
ultimately receive better and more cost-effective
medical care.

• Phil Bredesen Governor
• State of Tennessee

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Covisint Statewide Approach and Success -
Tennessee
Tennessee eHealth Exchange Zone
State of Tennessee

• Deliverables
• MPI/RLS
• Event Registry
• Clinical Dashboard
• Expose State Applications
• SSO w/Patient Synch 3rd Party Applications

• Deployment/Adoption
• State Funded/Statewide Backbone
• Initial Rollout to Stakeholders
• Vanderbilt University
• TennCare (Medicaid)
• Public Health
• Mid South RHIO
• Carespark
• West Tennessee RHIO

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ATT Healthcare Communities Online
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Covisint Statewide Approach and Success -
Minnesota
Minnesota Health Information Exchange
State of Minnesota

• Overview
• The Minnesota Health Information Exchange (MN
  HIE) provides a secure, electronic health
  information network designed to increase the
  safety and quality of care while decreasing
  costs.
• Focus
• Sponsor organizations include Blue Cross Blue
  Shield of Minnesota, Fairview Health Services,
  HealthPartners, Medica, UCare and the Minnesota
  Department of Human Services. MN HIE will enable
  doctors at any hospital or clinic in the state to
  have patient-controlled access to medications and
  other patient-centric information.
• Solution
• Leveraging Covisint platform securely
  communicating and collaborating across
  participating constituents
• Sharing of patient information for over 5 million
  people
• Centralized view of patient information across
  participating healthcare organizations.
• Results
• Announced September 8, 2008 Launched 60 days
  later
• Medication history
• Master Patient Index
• Rapid results displayed in aggregated view
• Simple to deploy, leveraging existing
  infrastructure
• Established foundation to expand to more members
  and functionality

"This program allows providers and health plans
to collaborate to provide more seamless care for
patients." "Immediate benefits for Minnesotans
include real-time, point-of-care access to health
information and an infrastructure to deliver
future services, such as e-prescribing, lab test
results, immunization records and communicable
disease reporting."

• Mike Ubl
• Executive Director
• Minnesota Health Information Exchange, LLC.

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Covisint Statewide Approach and Success -
Minnesota
Minnesota Health Information Exchange
State of Minnesota

• Today
• Medication history
• MPI/RLS
• Patient Search
• Epic integration
• Tomorrow
• Extending medication history and eRx
• Lab integration
• Radiology integration
• PHR/HealthVault integration

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Covisint HIE Approach and Success Michigan
Michigan Department of Community Health
Lansing, Michigan

• Overview
• The Michigan Department of Community Health
  (MDCH) contracted with Covisint as a pilot in
  2007 to provide a solution to eliminate paper
  claim attachments. Since than the solution has
  gone operational and now includes submission of
  consent forms and all Children Special Health
  Care Services documents.
• Challenge
• Reduce the inefficiency in the administrative
  workflows performed by both MDCH staff and
  providers (both institutional and professional)
  across Michigan.
• Provide statewide outreach activities for
  provider registration, training, and adoption.
• Add additional workflows to the original claims
  attachment solution, including the additional
  statewide outreach activities.
• Support MDCH CHAMPS solution
• Solution
• Implementation of a common entry point and
  solution set for all users.
• Provide a flexible and configurable solution that
  can easily be adapted to accommodate additional
  documents/workflows.
• Resources to conduct outreach contact, a variety
  of training strategies (i.e. on site and
  webinars), adoption follow-up.
• Interface to CHAMPS to exchange documents .
• Results
• Reduction of paper document exchange between MDCH
  and Providers.
• Inserted bi-directional communication
  opportunities to MDCH and Providers that have
  reduced duplicate document transactions and
  expedited document workflow cycles (i.e. time to
  payment for claims).

EZ Link is wonderful! EZ Link has provided
multiple benefits for MDCH and providers such as,
being a huge time saver, and tremendous saving on
postage. We are assured that MDCH is actually
receiving the documents that we have sent and who
at MDCH received them. More direct and faster
connection with MDCH which will help us to avoid
rejections, we can actually see how a document
we're faxing to MDCH is being received.

• Margaret Tennant Manager
• University of Michigan Health System

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Covisint HIE Approach and Success Michigan
Michigan Department of Community Health
Lansing, Michigan

• Today
• Secure Portal Access
• Validates provider participation in Medicaid
  during registration.
• Secure Provider Communications
• Claims Attachment
• Consent Forms
• CSHCS Documents
• Outreach and Adoption
• Driving statewide outreach and adoption by
  integrating outreach strategies with MSMS and
  MAHPs.
• All County and Local Health teams to be included
  in strategy.
• Tomorrow
• Prior Authorizations
• TPL Documentation
• All/any paper/fax MDCH to/from Provider
  communications post CHAMPS deployment

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Covisint HIE Approach and Success Michigan
Thumb Rural Health Network Michigan
Thumb Region

• Overview
• The Thumb Rural Health Network seeks to improve
  comprehensive health services in Huron, Sanilac,
  and Tuscola Counties by exploring and
  facilitating innovative approaches with and among
  the Network Members.
• Challenge
• Different and incompatible systems at the various
  area hospitals, as well as procedural/organization
  al differences, prevented direct
  machine-to-machine communications on Day 1.
• Solution
• Joint messaging and portal solution to provide a
  Clinical Message Viewer, which will allow for
  coupling the systems together across hospitals.
• Solution to replace the paper-based method for
  transferring patients between hospitals in area.
• Results
• System goes live on 3/27/2009 and will enable to
  streamlined electronic transfers of patient
  information from one hospital to another across
  the area.

Physicians and hospitals together face a common
goal providing the best care to the
patient. Its a bonus when the best way to
provide the best care is also the most efficient
and effective way. Covisint enables physicians,
healthcare systems and even healthcare regions to
achieve a new level of integration and an
outstanding level of care while reassuring
patients that their information is safe, secure
and accessible.

• Ed Gamache CEO
• Deckerville and Harbor Beach Community Hospitals

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Covisint HIE Approach and Success Michigan
Thumb Rural Health Network Michigan
Thumb Region

• Displayed through Clinical Viewer
• Patient Transfer
• Patient Discharge
• Patient Pre-registration
• Admission of ER Patient
• Patient Demographic Update
• Medical Records
• Observations

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Covisint HIE Approach and Success Michigan
Michigan Association of Health Plans
Lansing, Michigan

• Overview
• The Michigan Association of Health Plans consist
  of 21 health plans that provide services in
  Michigan. The ability for plans and physicians to
  communicate is difficult. Physicians spend
  unnecessary time and money managing multiple
  workflows to complete fundamental tasks with the
  plans they work with.
• Challenge
• Reduce the inefficiency in the administrative
  workflows performed by physicians across Michigan
  with member plans.
• Connect community exchange information from
  across Michigan with health plans and their
  physician networks.
• Increase the access to information available for
  physicians by the health plans to improve the
  service at the point-of-care.
• Solution
• Centralize common, non-competitive transactions.
• Provide secure, single sign-on access to 21
  health plans operating in Michigan.
• Establish a single point of connection for other
  community exchanges.
• Results
• Establish a common infrastructure for plans to
  engage other exchanges.
• Provide common solutions for administrative tasks
  (i.e. Eligibility, Claim Status)
• Integration with complimentary, clinical exchange
  initiatives.

The Michigan Association of Health Plans has
many members using many technologies statewide,
and we needed a way to bring all of these systems
together--quickly, securely and cost-effectively,
Covisint has the solutions to deliver on our
technology needs today and the vision to
navigate through the complexity and adjust as our
business needs change tomorrow.

• Richard Murdock Executive Director
• Michigan Association of Health Plans

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Covisint HIE Approach and Success Michigan
Michigan Association of Health Plans
Lansing, Michigan

• Today
• Administrative Solutions
• Eligibility
• Claim Status
• Secure Collaboration Tools
• Email
• File Exchange
• Directed Communications
• Tomorrow
• E-Prescribing Integration
• Radiology Benefits Management
• Care Coordination Management
• Patient Information Delivery
• Bridge the MAHP solution with other state-based
  exchanges.

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Covisint National Approach American Medical
Association
American Medical Association
Chicago, Illinois

• Overview
• In an effort to create additional value to their
  250,000 member physicians and the physician
  population at large, the AMA has undertaken a new
  strategy to extend health information
  technologies through a AMA branded portal
  infrastructure and interoperability platform.
• Challenge
• AMA is reinventing itself with a new look and
  feel and value equation to the physician
  population across the country, providing tooling
  to usher in a new era of health information
  technology.
• Solution
• The AMA Value Enhancement Program, in partnership
  with Covisint, is designed to offer the physician
  community a one-stop shop for access to clinical
  information tooling, such as eRx, practice
  management, EMR and PHR while offering an
  enhanced e-Commerce solution for subscriptions,
  publications and AMA owned IP such as CPT.
• Results
• Secure, single sign-on access to applications and
  relevant information.
• Currently in pilot and role out expected in
  Summer 2009.

True transformational moments in life are rare
this is one of those moments This singular, bold
move reflects the convergence of fresh, critical
thinking and proven technological excellence.
Covisint technology is the gold standard of
secure collaboration, and, with it, AMA
physicians will have unprecedented access to the
latest, best and most useful information--informat
ion that improves lives, helps physicians do
their jobs and enhance their practices all while
supporting the Presidents vision.

• Robert Musacchio, Ph.D Senior Vice President
• American Medical Association

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AMA Network OverviewAMA Beta Environment
National Approach American Medical Association
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Beyond Health Care

• Leveraged SOA Infrastructure
• Paid for By Health Care ROI
• Reusable and Scalable
• TCO Value/Buy Vs Build
• Securely Extend Enterprise To Citizens
• Solves IDM for External Use (INO)
• Provides Internal/External Interoperability

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Next Steps
Questions